Provider Demographics
NPI:1437401734
Name:HEMATOLOGY-ONCOLOGY-HEMATOPATHOLOGY, INC.
Entity Type:Organization
Organization Name:HEMATOLOGY-ONCOLOGY-HEMATOPATHOLOGY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LAWRENCE
Authorized Official - Middle Name:
Authorized Official - Last Name:KASS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:330-225-3475
Mailing Address - Street 1:1939 RIDGE RD
Mailing Address - Street 2:P.O. BOX 396
Mailing Address - City:HINCKLEY
Mailing Address - State:OH
Mailing Address - Zip Code:44233-9301
Mailing Address - Country:US
Mailing Address - Phone:330-225-3475
Mailing Address - Fax:330-225-3865
Practice Address - Street 1:7225 OLD OAK BLVD
Practice Address - Street 2:SUITE B317
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44130-3339
Practice Address - Country:US
Practice Address - Phone:440-816-2724
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-10
Last Update Date:2012-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35-028869207RH0003X, 207ZH0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & OncologyGroup - Multi-Specialty
No207ZH0000XAllopathic & Osteopathic PhysiciansPathologyHematologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHA77936Medicare UPIN
OH0456582Medicare PIN
OH0456583Medicare PIN